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NICOLE L NICHOLS PMHNP-BC
NPI 1750706826
Nurse Practitioner - Psychiatric/Mental Health in Clarkston, MI

Active since February 26, 2014PECOS EnrolledAccepts Medicare Assignment
LIFESTANCE HEALTH, 7300 DIXIE HWY., CLARKSTON, MI 48346(248) 922-2300(248) 922-2304 Get Directions Write a Review

NPPES record last updated: February 2, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicole L Nichols Pmhnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE L NICHOLS PMHNP-BC (NPI 1750706826) is an individual psychiatric/mental health provider in Clarkston, Michigan, licensed in Michigan (4704296871) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1750706826
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNICOLE L NICHOLSCredential: PMHNP-BC
Location AddressLIFESTANCE HEALTH, 7300 DIXIE HWY.Clarkston, MI 48346
Mailing AddressLifestance Health, 7300 Dixie Hwy.Clarkston, MI 48346 · (248) 922-2300 · Fax (248) 922-2304
Phone(248) 922-2300
Fax(248) 922-2304
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 26, 2014
Last NPPES UpdateFebruary 2, 2023
NPPES CertifiedFebruary 2, 2023
✔ NPI 1750706826 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704296871
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704296871 (MI)
LIFESTANCE HEALTH, Clarkston, MI 48346
Open in Google Maps ↗

Other Names 1

Former Name (1)Nicole L Luczak Rn

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole L Nichols Pmhnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062885890
PECOS Enrollment IDI20230227001379
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48346 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Nichols's NPI number?

The NPI number for Nicole Nichols is 1750706826. It was assigned to this individual provider in the NPPES registry on February 26, 2014. The provider is also known as Nicole L Luczak Rn.

Where is Nicole Nichols located?

Nicole Nichols practices at Lifestance Health 7300 Dixie Hwy., Clarkston, MI 48346. The listed phone number is (248) 922-2300.

What is Nicole Nichols's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Nicole Nichols enrolled in Medicare?

Yes. Nicole Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nicole Nichols accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Nicole Nichols as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Nichols was last updated on February 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.